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What procedures to bring forward maxilla forward and rotate jaw upward to a forward growth position? (Photos)

CuriousCatHowAboutThatFeb 19, 2018
My head is tucked in the picture, but as you can see I don’t have a good natural development due to some bad Orthodontics and mouth breathing - while I want to push natural oral posture as far as I can go, I don’t know how far I can take it. One image is tucked and the other “normal” rest (I know I blocked my eyes in one but can you blame me lol?) I’d love to know what the procedures might be or what surgeons see to shift the bones in the maxilla forward and upswing the mandible - thank you!

Answers (1)

From board-certified doctors and trusted medical professionals
Dr. Gerald Wittenberg, MSc, DMD (retired)
Certified Oral & Maxillofacial Surgeon
Answered on Feb 26, 2018
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Gerald Wittenberg, MSc, DMD (retired)

Yes, the upper jaw has to be 'moved down' and measured at surgery to ensure the amount of movement. The teeth cannot be lengthened so moving the bone is the only true option. Talk to the surgeon.He can maintain the same bite

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Gerald Wittenberg, MSc, DMD (retired)

The actual bone shape at the angle does not  with osteotomies so you need to have a jawline implant ( see website) to alter the contours. It can be done at the same surgery or afterwards. It is a very esthetic change

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Gerald Wittenberg, MSc, DMD (retired)

There are a couple  of options. ideally you  orthodontics and lower jaw advancement surgery. Howeve we also do masking treatment with jawline augmentation and a proper genioplasty to create a jawline which can look great ( see website). 

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